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Background
Accurate quantitative assessment of infection with soil transmitted helminths and protozoa is key to the interpretation of epidemiologic studies of these parasites, as well as for monitoring large scale treatment efficacy and effectiveness studies. As morbidity and transmission of helminth infections are directly related to both the prevalence and intensity of infection, there is particular need for improved techniques for assessment of infection intensity for both purposes. The current study aimed to evaluate two multiplex PCR assays to determine prevalence and intensity of intestinal parasite infections, and compare them to standard microscopy.Methodology/Principal Findings
Faecal samples were collected from a total of 680 people, originating from rural communities in Timor-Leste (467 samples) and Cambodia (213 samples). DNA was extracted from stool samples and subject to two multiplex real-time PCR reactions the first targeting: Necator americanus, Ancylostoma spp., Ascaris spp., and Trichuris trichiura; and the second Entamoeba histolytica, Cryptosporidium spp., Giardia. duodenalis, and Strongyloides stercoralis. Samples were also subject to sodium nitrate flotation for identification and quantification of STH eggs, and zinc sulphate centrifugal flotation for detection of protozoan parasites. Higher parasite prevalence was detected by multiplex PCR (hookworms 2.9 times higher, Ascaris 1.2, Giardia 1.6, along with superior polyparasitism detection with this effect magnified as the number of parasites present increased (one: 40.2% vs. 38.1%, two: 30.9% vs. 12.9%, three: 7.6% vs. 0.4%, four: 0.4% vs. 0%). Although, all STH positive samples were low intensity infections by microscopy as defined by WHO guidelines the DNA-load detected by multiplex PCR suggested higher intensity infections.Conclusions/Significance
Multiplex PCR, in addition to superior sensitivity, enabled more accurate determination of infection intensity for Ascaris, hookworms and Giardia compared to microscopy, especially in samples exhibiting polyparasitism. The superior performance of multiplex PCR to detect polyparasitism and more accurately determine infection intensity suggests that it is a more appropriate technique for use in epidemiologic studies and for monitoring large-scale intervention trials. 相似文献![点击此处可从《Biopolymers》网站下载免费的PDF全文](/ch/ext_images/free.gif)
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Aim
To evaluate the unintentional coverage of the internal mammary chain (IMC) with tangential fields irradiation to the breast, and its relation with the type of surgery employed.Background
The dose distribution in regions adjacent to the treatment targets (mammary gland or chest wall), with incidental irradiation of the IMC, could translate into clinical benefit, due to the proximity of these regions.Materials and methods
One hundred and twelve consecutive conformal radiotherapy plans were correlating the average dose to the IMC with the type of surgery employed, the extent of disease and the irradiation techniques.Results
The mean doses to IMC after modified radical mastectomy (MRM), modified radical mastectomy with immediate reconstruction (MRM + R), and breast conservative surgery (BCS) were 30.34 Gy, 30.26 Gy, and 18.67 Gy, respectively. Significant differences were identified between patients who underwent MRM or MRM + R over BCS (p = 0.01 and 0.003, respectively), but not between MRM and MRM + R (p = 0.88). Mean doses to IMC were greater in patients with T3–T4 tumors when compared with more initial stages (≤T2) (p = 0.0096). The lymph node involvement also correlated with higher average doses to IMC (node positive: 26.1 Gy × node negative: 17.8 Gy, p = 0.0017).Conclusions
The moderate dose level to the IMC in the unintentional irradiation scenario seems to be insufficient to treat the subclinical disease, although it could have an impact in patients undergoing mastectomy. 相似文献Life cycle assessment (LCA) is a data-intensive methodology; therefore, experts usually focus collection efforts on a few activities, while generic data on remaining activities are taken from databases. Even though increased availability of databases has facilitated LCA takeoff, assuring data quality is fundamental to ensure meaningful results and reliable interpretation.
MethodsEcoinvent has become a global reference for inventory data. Its current version released three impact partition modeling options—the recycled content, “allocation at the point of substitution” (APOS), and consequential models—whose adequate choice is crucial for yielding meaningful assessments. Tutorials and manuals describe the distribution algorithm that backs each system model, to ground decision-making regarding the best fit to a study’s goals. We performed a systematic literature review to investigate—within the papers published on the International Journal of LCA (IJLCA)—how transparently authors addressed the system model choices.
Results and discussionAbout 70% of LCA practitioners continued to use earlier versions of ecoinvent after version 3 was launched in 2013. The number of papers using versions 3.x only showed an increased growth trend 2 years later. Eighty-three papers actually adopted the newest version of the database. From those, only 29 papers clearly mentioned the adopted system model. Our SLR also suggests a trend regarding authorship profile of LCA-related studies: the number of studies conducted by practitioners aware of the intricacies of sound modeling of background and foreground data might have been surpassed by those conducted by non-LCA specialists who use LCA as a supporting tool for investigations in applied fields, and merely scratch the surface.
ConclusionsOur results point to a need for a caveat: ecoinvent users must take time to understand the general concept behind each system model and practice one of the most important actions when performing an LCA—state methodological choices clearly.
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